Basic Information
| Provider Information | |||||||||
| NPI: | 1003041104 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | O'CALLAGHAN | ||||||||
| FirstName: | BARBARA | ||||||||
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| Credential: | RN, NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 651 CARROLL'S WAY | ||||||||
| Address2: | |||||||||
| City: | BUFORD | ||||||||
| State: | GA | ||||||||
| PostalCode: | 30518 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 631 PROFESSIONAL DRIVE | ||||||||
| Address2: | 450 | ||||||||
| City: | LAWRENCEVILLE | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300467651 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7709638030 | ||||||||
| FaxNumber: | 7703399577 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/19/2009 | ||||||||
| LastUpdateDate: | 02/03/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WX0200X | RN139570 | GA | Y | Nursing Service Providers | Registered Nurse | Oncology |
No ID Information.